Individual provider Active NPI

Peyton Benjamin Carlson

  • Physician Assistant
  • Hermitage, PA
National Provider Identifier
1386254324
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061558 Issued in PA
Practice address
1599 N Hermitage Rd
Hermitage, PA 16148-3180
Phone
(724) 962-9622
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061558 PA Primary

Addresses

Primary practice location

1599 N Hermitage Rd
Hermitage, PA 16148-3180

Mailing address

124 Heath Dr
Baden, PA 15005-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105001243 PA Practitioner - Physician Assistant 8921497371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

100 Innovation Dr
Suite 104
Slippery Rock, PA 16057-2468
Phone (724) 538-5311

1211 Wilmington Ave
New Castle, PA 16105-2516
Phone (724) 656-6161

2 Hot Meal St
Pittsburgh, PA 15203-2348

2004 W State St
New Castle, PA 16101-1248

2008 W State St
Union Primary Care Upmc
New Castle, PA 16101-1248
Phone (724) 658-3712

2200 Memorial Dr
Farrell, PA 16121-1357
Phone (724) 983-8854

449 N Hermitage Rd
Hermitage, PA 16148-3342

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061558PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Aug 3, 2021 Accepting new patients
Upmc Community Medicine, Inc. CurrentSince Aug 3, 2021 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1599 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 962-7920

449 N Hermitage Rd
#B
Hermitage, PA 16148
Phone (724) 347-6660

2004 W State St
New Castle, PA 16101
Phone (724) 657-3224

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

100 Innovation Dr
Ste 104
Slippery Rock, PA 16057
Phone (724) 285-5351

Interoperability endpoints

  • Direct secure messaging: peyton.carlson@upmcdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1386254324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HEATH DR",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150059616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483180",
            "telephone_number": "724-962-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "PEYTON",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.